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18D2162971 CLIA NUMBER - NICHOLASVILLE PHARMACY SERVICES, INC

Laboratory Demographics

CLIA Number: 18D2162971

Facility Name: NICHOLASVILLE PHARMACY SERVICES, INC

Facility Address:
465 KEENE CENTRE DR
NICHOLASVILLE, KY
ZIP 40356
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Facility Phone Number: 859 887-2841

Facility Type: Pharmacy

Certificate Type: Waiver
NPI Number: 1649382599

Taxonomy: 3336C0003X - Pharmacy
A pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes.

CLIA Record

Field Name Field Value
CLIA Number 18D2162971
LAB Type Pharmacy
Facility Name NICHOLASVILLE PHARMACY SERVICES, INC
Street 465 KEENE CENTRE DR
City NICHOLASVILLE
State KY
ZIP 40356
Phone 859 887-2841
CertificateType 4
CertificateEffectiveDate 3/5/2023
CertificateExpirationDate 3/4/2025
FacilityType Waiver

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This page was last updated on: 4/23/2024